NUTRITION

Dietary Calcium

Calcium Sources

Estimating Calcium Intake

Calcium Supplements

Reading Food Labels for Calcium Content

Vitamin D

Reading Foods Labels for Vitamin D

Caffeine

Magnesium

Protein

Phosphorus

Sodium

Soy

Vitamin A

Vitamin K

Other Dietary Factors

RISK FACTOR REDUCTION

Exercise

Safety/Fall Prevention

Tobacco

Alcohol

Vitamin A

What is Vitamin A?

Vitamin A is a fat-soluble vitamin that is essential for good health. It is required for vision, growth, to fight infection, and for bone remodeling. Two common types of vitamin A are retinol and beta carotene.

How can Vitamin A intake affect my bone health?

Recent studies in postmenopausal women showed that too much vitamin A intake from retinol appeared to increase the risk of hip fracture.  There is however conflicting evidence about the source of retinol associated with an increased risk of hip fracture.There is no evidence of any association between beta-carotene intake and the risk of osteoporosis or related fracture. Beta-carotene is considered safe and is not associated with any negative effects to bones or other parts of the body. Although controlled studies are needed to further test these observations, it makes sense to avoid too much retinol intake. It is however, important to get enough vitamin A in your diet. You can do so by including generous servings of foods high in beta carotene in your diet each day.

What foods contain retinol?

Retinol is found naturally in animal sources such as liver and fish liver oils. In the past, cod liver oil, has been widely used as a source of vitamin D but it is not currently recommended for that purpose.

Low levels of retinol are also added to many fortified foods such as milk and fortified cereals. It is often listed on the food label as vitamin A palmitate. The small amounts of retinol added to fortified foods are not a concern if included in moderation in a healthy diet.

Are there other sources of retinol that I should know about?

Retinol is found in many multivitamins, vitamin A supplements, and many combination vitamin A&D supplements. The supplement label provides information about the type of vitamin A in the preparation and how much vitamin A it contains. Retinol may be listed as retinyl acetate, vitamin A palmitate, or vitamin A acetate. It is important read the labels of multivitamins in order to select those that contain higher levels of beta-carotene and lower levels of retinol.

In addition to dietary sources, oral synthetic retinoid medications taken by some people to treat acne or other skin conditions have also been shown to be detrimental to bone health particularly in children and teens during the bone-building years. If you need to take these medications, it is important to speak to your doctor about how to protect your bones during treatment.

What is the best way to get vitamin A?

You can get all of the vitamin A that you need by consuming foods rich in beta-carotene. Beta-carotene is found in plant foods, especially in dark green leafy vegetables and deep yellow or orange fruits. For information about the beta-carotene content of selected foods, check on the USDA National Nutrient Database:  listed according to nutrient content or listed alphabetically.






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The advice or information contained on these pages should NOT be construed as medical advice. Consult with your doctor or licensed medical professional about your individual needs related to the prevention, diagnosis and treatment of osteoporosis.

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